Collett Campbell, CPED, LPED

Primary specialty

SpecialistTaxonomy code 174400000X

License

80 Issued in OK

Practice address

724 S Main St
Stillwater, OK 74074-4668

Phone

(405) 707-3005

Fax

(405) 707-3033

NPI assigned

Jul 27, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370822400000",
    "number": "1093729170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "724 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744668",
            "telephone_number": "405-707-3005",
            "fax_number": "405-707-3033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "724 S MAIN ST",
            "city": "STILLWATER",
            "state": "OK",
            "postal_code": "740744668",
            "telephone_number": "405-707-3005",
            "fax_number": "405-707-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "COLLETT",
        "name_prefix": "Mrs.",
        "credential": "CPED, LPED",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2013-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OK",
            "license": "80",
            "primary": true
        },
        {
            "code": "224L00000X",
            "taxonomy_group": "",
            "desc": "Pedorthist",
            "state": "OK",
            "license": "80",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clayton Scott Camp, CTRS/L
• Lydia Michael Camp, MS, R.D., L.D.
• Campbell Drug Incorporated
• Campbell Drug Incorporated
• Alan Carl Campbell, PH.D.
• Julia Campbell, LPC
• Maury Lee Campbell, D.PH.
• Monte Todd Campbell, DC
• Monique Canaday
• Kaylynne Nicole Canady

• Specialist in Stillwater, OK
• Providers in Stillwater, OK by specialty
• Specialist in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.